| West Branch Neurology Associates, Pc | |
|
425 Market Street First Floor Williamsport PA 17701-6345 | |
| (570) 322-0990 | |
| (570) 322-6087 |
| Full Name | West Branch Neurology Associates, Pc |
|---|---|
| Speciality | Physician Assistant - Medical |
| Location | 425 Market Street, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Stuart Martin Olinsky (PHYSICIAN PRESIDENT) |
| Authorized Official Contact | 5703220990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Branch Neurology Associates, Pc 425 Market Street First Floor Williamsport PA 17701-6345 Ph: (570) 322-0990 | West Branch Neurology Associates, Pc 425 Market Street First Floor Williamsport PA 17701-6345 Ph: (570) 322-0990 |
| NPI Number | 1336103688 |
|---|---|
| Provider Enumeration Date | 04/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336103688 | NPI | - | NPPES |
| 0017437170003 | Medicaid | PA | |
| 415955 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD026303E (Pennsylvania) | Primary |
| 363AM0700X | Physician Assistant - Medical | MA050972 (Pennsylvania) | Primary |
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